Cancer Center 2012 ANNUAL REPORT

Transcription

1 West Region Cancer Center 212 ANNUAL REPORT

2 West Region Cancer Center The Cancer Center in Fargo, North Dakota is designated by the American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Program. We re Here With You to provide expert, personalized care close to home. For your convenience, our cancer specialists travel to clinics across the region. That means you can get the comprehensive care you need, right in your community or just a short drive from home. Our medical oncologists see patients at the following locations throughout North Dakota and Minnesota: Minnesota: Detroit Lakes, MN Fosston, MN Park Rapids, MN North Dakota: Fargo, ND Jamestown, ND Wahpeton, ND Our patients and their families are at the center of our team. Our care team of radiation and medical oncology physicians and oncology certified nurse s also includes: Radiation therapists Scheduling coordinators Patient Support Specialist to discuss financial inquiries Oncology dietitian Therapy services Social workers Patient navigator Onsite liaison to community support groups Palliative care services Clinical Trial Research Nurse Cancer registry NORTH DAKOTA Jamestown Fargo Wahpeton Fosston Detroit Lakes Park Rapids MINNESOTA The Cancer Center in Fargo is A Commission on Cancer Comprehensive Community Cancer Program A recipient of a 28 Commission on Cancer Outstanding Achievement Award Home to the world s first SMART CT for precise radiation therapy planning 2 CANCER CENTER ANNUAL REPORT 212

3 Patient Navigation Andrea Horning RN, BSN, OCN Breast Cancer Nurse Navigator Cancer Center South University Medical Oncology 172 South University Drive Fargo, ND 5813 Phone: Missy Laposky, RN, BA, OCN Clinical Patient Navigator Cancer Center St. Joseph s Medical Center 523 3rd Street North Brainerd, MN 5641 Phone: melissa.laposky@essentiahealth.org Licia Connolly, RN, CBPN-IC Breast Health Navigator Cancer Center Duluth Clinic First Street Building 42 East 1st Street Duluth, MN 5585 Phone: licia.connolly@essentiahealth.org According to the National Coalition of Oncology Nurse Navigators, in 199 Dr. Harold Freeman pioneered the concept of navigating underserved patients into the healthcare system to improve screening and detection of breast cancer and reduce mortality rates. The Patient Navigator Outreach and Chronic Disease Prevention Act of 25 brought navigation to the attention of the public, resulting in the development of patient navigation programs by the American Cancer Society, the National Cancer Institute, and the Harold Freeman Patient Navigation Institute. Oncology Nurse Navigators are clinical professionals with the knowledge and skills necessary to support the cancer patient, their family and other support persons throughout the entire cancer experience, from diagnosis though treatment and survivorship. The Oncology Nurse Navigators at are responsible for coordination of care across the continuum by accompanying the patient through every aspect of their cancer journey. The Oncology Nurse Navigator is best prepared to be an advocate for and give guidance to the patient and their families. The Oncology Nurse Navigator is able to ensure access to the information necessary for the patient to make the best possible decisions about treatment, providing advice to improve the patient s quality of life, and ultimately improving patient satisfaction. In keeping with the trend toward more patient centered care, cancer programs throughout the United States must include a patient navigation process by 215. With the help from the Susan G. Komen Grant that received, all three regions of now have an Oncology Nurse Navigator in place. The Oncology Nurse Navigator process addresses barriers to cancer care and has a survivorship care plan that documents the care the patient received. This care plan is then reviewed with the patient with the goal of improving the quality of life for our cancer patients. Oncology Nurse Navigators throughout the regions at Essentia Heath are working together to improve each program, as well as individual patient experiences. The Oncology Nurse Navigators are sharing resources such as policies and procedures, education materials such as PowerPoint presentations, as well as community resources that are available to oncology patients. CANCER CENTER ANNUAL REPORT 212 3

4 Superhero mom & wife gets strength from family W hat does it take to get through the unthinkable? Alice Newsam found that the answer is family. When this seemingly healthy young wife and mother got the unbelievable news that her persistent cough was actually Hodgkin s lymphoma, a cancer affecting lymph tissue, she knew she needed to be strong. I was on my computer, remembered husband Rich. She walked in the room and calmly repeated what the doctor said. I was in total shock. I couldn t believe what she was telling me. Alice and her husband, Rich, with children, Ellie and Nick.

5 Her strength amazes me. -Rich, Alice s husband She recalled Rich s first words after hearing the news: We gotta figure out a plan and we ll just work through it. It was then Alice knew she d have company on this journey. As Alice recounted her story, daughter Ellie pestered big brother Nick, who barely noticed the intrusion. Dad preempted a potential tussle. Mom was unshaken. Through this quiet chaos, it was evident her family is her rock. And, that definition of family grew through her cancer treatment. I have a really good care team, said Alice. After an emotion-filled pause she continued. They re like family. I couldn t imagine going through this without them. That team includes family practice physician Kinsey Nelson, MD, hematologist/oncologist Mahendra Gupta, MD and cancer surgeon Josh Gebur, MD. They gave us so much confidence without setting unrealistic expectations. Alice s diagnosis was confirmed in early January. By January 24, she d had surgery and a port inserted so she could begin her six-month chemotherapy regimen. While she didn t enjoy the chemo, Alice looked forward to seeing the infusion nurses. There was Andrea, Alice s mentor. There was Holly, the comic relief. And there was Rose, Alice s cheerleader. The nursing trio also became chaperones for Alice and Rich s dates. Yes, dates. The couple decided chemo infusions were the perfect opportunity to have some adult time away from the kids. They perused travel books, cookbooks and even gossip magazines. They talked about their future and shared dreams for their family. When Alice made the decision to shave her head, Rich compared her new do to his former military haircut. Five-year-old Nick on the other hand, couldn t keep his hands off it. He thought mom looked like a superhero. The superhero analogy is fitting for Alice, according to Rich. Most people would have fallen apart during this ordeal, he said. Her strength amazes me. It turns out Rich is a bit of a superhero, too, according to Alice. Although she s incredibly positive, her chemo sometimes left her aching and tired. Rich could just sense it. And when he did, he carefully orchestrated the family s lives to provide Alice the space she needed. At times, that meant packing up the kids and leaving mom to a little solitude at home. Other times, it meant discretely rearranging family obligations. I knew before that Rich was a really good guy. This just seals the deal, she said, beaming. It takes a team to get through cancer. Alice is glad for the support of her family both her biological family and her Essentia family. On June 26, 212, she graduated from treatment and is enjoying being cancer free. Alice cancer-free CANCER CENTER ANNUAL REPORT 212 5

6 survival observed year Five 1 Observed Five Year Survival Rates for Breast Cancer vs. (23-24) 1 Observed Five Year Survival Rates for Prostate Cancer vs. (23-24) Survivial Rate Survivial Rate Source: Fargo Cancer Registry; Commission on Cancer, American College of Surgeons, Survival Reports, 212 Patti relied on the support of her husband, Butch, during her diagnosis and treatment. 6 CANCER CENTER ANNUAL REPORT 212

7 Five year observed survival 1 Observed Five Year Survival Rates for Non-Small Cell Carcinoma of Lung vs. (23-24) 1 Observed Five Year Survival Rates for Small Cell Carcinoma of Lung vs. (23-24) Survivial Rate Survivial Rate **Insuffienct Survival Data for Small Cell Lung Cancer in Five Year Observed Survival for Colorectal Cancer vs. (23-24) 1 Survivial Rate Source: Fargo Cancer Registry; Commission on Cancer, American College of Surgeons, Survival Reports, 212 CANCER CENTER ANNUAL REPORT 212 7

8 Cancer Center West Region South University Clinic 172 South University Drive Fargo, ND 5813 EssentiaHealth.org